PSYCHOLOGICAL REPORT

Presented to the

Department of Psychology

College of Social Sciences and Development

Polytechnic University of the Philippines

In Partial Fulfilment

Of the Requirements in

Psychological Assessment

by

Rivera, Janime Azti A.

June 2023
 PSYCHOLOGICAL REPORT

1.0 PERSONAL AND DEMOGRAPHIC INFORMATION

Name: Mark Vence Dee

Sex: Male

School: Polytechnic University of the Philippines

Address: #22 M.L Quezon St. Ext. Brgy., Dalig Antipolo City

Age: 23

Date of Birth: March 07 2000

Birth Order: Youngest

2.0 REASON FOR REFERRAL

The purpose of preparing this comprehensive psychological report is primarily driven by the

academic requirements of our esteemed institution, the Polytechnic University of the Philippines

(PUP). As third-year students pursuing a Bachelor of Science degree in Psychology, we are

currently undertaking a course on Psychological Assessment. This report serves as a vital

component of our coursework, allowing us to demonstrate our knowledge and understanding of

psychological evaluation techniques, data analysis, and interpretation.

3.0 OBSERVATION

During the administration of the test, the patient arrived in a neat and presentable manner,

indicating a sense of personal grooming and attention to appearance. Throughout the assessment,

the patient consistently displayed a proactive attitude by frequently asking questions regarding

the tests, demonstrating a strong interest and engagement in the evaluation process. The patient

willingly listened to instructions, actively participated, and showed a cooperative demeanor.

Notably, no abnormality or unusual mannerisms were observed during the assessment. The

patient did not display any signs of aggression or sudden anger, maintaining a calm and

composed demeanor throughout the evaluation. His cooperative behavior and willingness to

engage in the assessment contributed to a smooth and productive testing environment.

However, it is important to mention that the patient tended to exceed the given time limits

for the tests. While his cooperation and active participation were evident, managing time

efficiently proved challenging for them.

4.0 FAMILY HISTORY

The patient shared that he is the youngest among their two siblings. His mother is a

homemaker, dedicating her time to taking care of the household and family, while their father is

self-employed and owns a business. According to the patient, they maintain a positive and

healthy relationship with their family. This indicates that they have a strong bond and open

communication with their parents and siblings, fostering a supportive and nurturing family

environment.

5.0 PHYSICAL OBSERVATION

The patient's physical attributes include a height of approximately 5'6" and an estimated

weight of 55kg. Upon visual observation, the patient appears to be in good physical condition,

exhibiting a fair complexion and overall healthy appearance. No visible scars or marks were

observed during the assessment. In addition, it is important to note that no abnormality or

unusual actions were observed throughout the assessment. The patient displayed normal behavior

and did not exhibit any peculiar or atypical movements, gestures, or actions that would raise

concern. Their behavior and actions appeared within the expected range of typical behavior for

an individual of their age and background.

6.0 MEDICAL HISTORY

The patient has a medical history that includes a urinary tract infection (UTI) and a low

platelet count. The presence of a UTI indicates a previous bacterial infection in the urinary

system, which can cause discomfort and disrupt daily activities.

 7.0 TEST ADMINISTRATION

TEST DATE TAKEN

Yale-Brown Obsessive- May 20, 2023

8.0 TEST Compulsive Scale (Y-BOCS)

Filipino Coping Strategies Scale May 22, 2023

Depression, Anxiety and Stress May 25, 2023

Scale

This bipolar assessment May 26, 2023

(Goldberg Bipolar Screening

Test)

Beck's Depression Inventory May 27, 2023

Beck Anxiety Inventory (BAI) May 27, 2023

The Personality Inventory for May 28, 2023

DSM-5 (PID-5)—Adult

RESULTS

TEST: Yale-Brown Obsessive-Compulsive Scale (Y-BOCS)

DATE TAKEN: May 20, 2023

SCORE: 9

INTERPRETATION: Based on the test results, with a score of 9 indicating a mild case of

Obsessive-Compulsive Disorder (OCD), it suggests that the patient may be experiencing mild

symptoms associated with this condition. It is worth noting that a comprehensive evaluation and

further assessment by a qualified mental health professional would be necessary to confirm the

diagnosis.

It is important to mention that not all answers to the test were high scored, indicating that the

patient did not exhibit significant OCD-related symptoms across the board. However, the

presence of some mild symptoms, as reflected in the overall score, suggests a potential need for

further evaluation and support.

TEST: Filipino Coping Strategies Scale

DATE TAKEN: May 22, 2023

SCORE:

Cognitive Reappraisal – 3.25

Social Support – 2

Problem Solving – 3.5

Religiosity – 2

Tolerance – 2.5

Emotional Release – 4.5

Overactivity – 2.4

Relaxation – 2.4

Substance Use – 2.5

INTERPRETATION:

Cognitive Reappraisal - The score of 3.25 indicates a high level of cognitive reappraisal as a

coping strategy. Cognitive reappraisal involves reframing and reinterpreting situations in a more

positive or adaptive way. The patient demonstrates a tendency to actively change their thoughts

and perspectives to cope with stressors effectively.

Social Support - The score of 2 suggests a low reliance on social support as a coping strategy.

This indicates that the patient may not actively seek or utilize social connections or support

systems when dealing with stressors. It is important to consider the patient's level of social

support and explore opportunities to enhance their social network.

Problem Solving - With a score of 3.5, the patient exhibits a high tendency to engage in problem-

solving as a coping strategy. Problem-solving involves actively seeking solutions and taking
action to address stressors. The patient demonstrates a proactive approach to dealing with

challenges.

Religiosity - The score of 2 indicates a low reliance on religiosity as a coping strategy.

Religiosity refers to the patient's level of engagement in religious or spiritual practices to manage

stress. The patient may not heavily rely on religious beliefs or practices as a primary coping

mechanism.

Tolerance - The score of 2.5 suggests a low level of tolerance as a coping strategy. Tolerance

refers to the patient's ability to accept and tolerate stressful situations without becoming

overwhelmed. The patient may have some difficulty in maintaining a high level of tolerance

during challenging times.

Emotional Release - With a score of 4.5, the patient demonstrates a very high reliance on

emotional release as a coping strategy. Emotional release involves expressing emotions in a

cathartic manner, such as through crying, venting, or engaging in expressive activities. The

patient may frequently use emotional release as a way to cope with stressors.

Overactivity - The score of 2.4 indicates a low tendency for overactivity as a coping strategy.

Overactivity refers to engaging in excessive or impulsive behaviors to distract oneself from

stress. The patient demonstrates a lower reliance on this particular coping mechanism.

Relaxation - With a score of 2.4, the patient demonstrates a low tendency to use relaxation as a

coping strategy. Relaxation techniques, such as deep breathing exercises or meditation, are not

extensively utilized by the patient for stress management.

Substance Use - The score of 2.5 suggests a low reliance on substance use as a coping strategy.

Substance use refers to the patient's inclination to turn to alcohol, drugs, or other substances to

manage stress. The patient demonstrates a lower likelihood of relying on substance use as a

coping mechanism.
TEST: Depression, Anxiety and Stress Scale

DATE TAKEN: May 25, 2023

SCORE:

Depression – 28 (extremely severe)

Anxiety – 12 (moderate)

Stress – 18 (mild)

INTERPRETATION:

Depression - The score of 28 indicates an extremely severe level of depression. This suggests

that the patient is experiencing significant and debilitating symptoms of depression that may

greatly impact their daily functioning, well-being, and overall quality of life. It is crucial for the

patient to seek professional help and support as soon as possible to address their depression and

explore appropriate treatment options.

Anxiety - With a score of 12, the patient exhibits a moderate level of anxiety. This suggests that

the patient experiences noticeable symptoms of anxiety that may interfere with their daily life to

some extent. While not as severe as the depression score, it is still important for the patient to

seek professional guidance to manage their anxiety symptoms and prevent further escalation.

Stress - The score of 18 indicates a mild level of stress. This suggests that the patient experiences

some stress-related symptoms, but it is not at a severe or debilitating level. However, even mild

levels of stress can have an impact on overall well-being and functioning, so it is essential to

address and manage stress effectively. The patient may benefit from stress management

techniques and strategies to reduce their stress levels and improve their overall well-being.

TEST: Bipolar Assessment (Goldberg Bipolar Screening Test)

DATE TAKEN: May 26, 2023

SCORE: 25
INTERPRETATION: Based on the test results, which scored 25 indicating a high probability of

having a bipolar spectrum disorder, the patient exhibits symptoms consistent with this condition.

Notably, the patient scored high on the test question, "At times I am greatly interested in being

with people and at other times I just want to be left alone with my thoughts." This suggests that

the patient experiences alternating periods of high interest in socializing and a desire for solitude.

These fluctuations in social preferences align with the characteristic inconsistency seen in bipolar

disorder, where individuals may have heightened sociability during manic or hypomanic

episodes and a preference for isolation during depressive episodes.

Furthermore, the patient's response to the question, "I have had periods of great optimism and

other periods of equally great pessimism," indicates the presence of mood swings. The patient

experiences both extreme optimism and pessimism, which aligns with the mood shifts commonly

observed in bipolar disorder.

Additionally, the patient's response to the question, "I have had periods of tearfulness and crying

and other times when I laugh and joke excessively," demonstrates fluctuations in emotional

expression. These alternating periods of tearfulness and excessive laughter and joking further

support the presence of mood instability, a hallmark feature of bipolar spectrum disorders.

TEST: Beck's Depression Inventory

DATE TAKEN: May 27, 2023

SCORE: 27

INTERPRETATION: Based on the test results, with a score of 27 indicating a moderate level

of depression, it suggests that the patient may be experiencing significant symptoms associated

with depression. The fact that some questions in the test were high scored indicates that the

patient demonstrated notable depressive symptoms in those areas. This could include feelings of

sadness, changes in appetite or sleep patterns, low energy levels, difficulty concentrating, and

other symptoms commonly associated with depression. A moderate score suggests that the
patient may be experiencing a moderate level of distress and impairment in their daily

functioning due to depressive symptoms.

TEST: Beck Anxiety Inventory (BAI)

DATE TAKEN: May 27, 2023

SCORE: 13

INTERPRETATION: Based on the test results, with a score of 13 indicating low anxiety, it

suggests that the patient is experiencing minimal symptoms of anxiety. Additionally, there were

no high-scored answers in the test, indicating the absence of significant anxiety-related

symptoms or concerns.

A low anxiety score suggests that the patient generally experiences a sense of calmness and

minimal distress in their day-to-day life. They are likely able to manage stressors and challenges

effectively without excessive worry or anxiety.

TEST: The Personality Inventory for DSM-5 (PID-5)—Adult

DATE TAKEN: May 28, 2023

SCORE:

Negative Affect – 1.56

Detachment – 1.90

Antagonism – 2.11

Disinhibition – 1.52

Psychoticism – 3.06

INTERPRETATION:
Negative Affect - 1.56 (mild): The patient's score for negative affect falls within the mild range.

This suggests that they may experience occasional negative emotions or have mild difficulty in

regulating their emotions. It is important to monitor their emotional well-being and provide

appropriate support or interventions if needed.

Detachment - 1.90 (moderate): The patient's score for detachment falls within the moderate

range. This indicates that they may display moderate levels of withdrawal or avoidance in social

interactions. They may have a tendency to emotionally distance themselves from others. It is

essential to foster a supportive environment and encourage the patient to gradually engage in

social connections.

Antagonism - 2.11 (moderate): The patient's score for antagonism also falls within the moderate

range. This suggests that they may exhibit moderate levels of defiance, stubbornness, or conflict

in interpersonal relationships. They may occasionally display antagonistic or confrontational

behavior. It is crucial to promote healthy communication skills and conflict resolution strategies

to mitigate the negative impact of antagonistic tendencies.

Disinhibition - 1.52 (mild): The patient's score for disinhibition falls within the mild range,

indicating mild difficulty in impulse control and self-regulation. They may occasionally struggle

with inhibiting their impulses or may engage in impulsive behaviors in certain situations. It is

important to address any specific areas of concern and provide strategies to develop better

impulse control skills.

Psychoticism - 3.06 (severe): The patient's score for psychoticism falls within the severe range.

This indicates a significant presence of psychotic-like experiences or beliefs. They may

experience distortions in their perception of reality, have disorganized thinking, or exhibit

unusual behaviors. It is crucial to closely monitor their symptoms and consider a comprehensive

evaluation by a mental health professional for a potential psychotic disorder.

 9.0 SUMMARY

Mark Vence Dee, a 23-year-old male student at Polytechnic University of the Philippines,

was assessed for his psychological well-being. He showed a proactive and cooperative attitude

during the evaluation process, but had difficulty managing time efficiently during the tests.

Mark comes from a supportive and nurturing family environment. He has a medical history

that includes a urinary tract infection (UTI) and a low platelet count. The assessment utilized

various tests to evaluate different aspects of Mark's mental health. Results indicated the presence

of mild symptoms associated with Obsessive-Compulsive Disorder (OCD). Mark displayed a

high level of cognitive reappraisal and problem-solving as coping strategies, but exhibited low

reliance on social support, religiosity, tolerance, relaxation, overactivity, and substance use.

Regarding his emotional well-being, Mark scored extremely severe in depression, indicating

significant and debilitating symptoms that may greatly impact his daily functioning and quality

of life. He also displayed moderate levels of anxiety and mild levels of stress. The Goldberg

Bipolar Screening Test indicated a high probability of a bipolar spectrum disorder due to

fluctuations in social preferences, mood swings, and alternating periods of tearfulness and

excessive laughter.

Mark's score on Beck's Depression Inventory confirmed a moderate level of depression,

highlighting significant symptoms associated with the condition. However, the Beck Anxiety

Inventory indicated minimal symptoms of anxiety and no significant concerns.

In terms of personality traits, Mark demonstrated mild negative affect, moderate detachment,

moderate antagonism, mild disinhibition, and severe psychoticism according to the Personality

Inventory for DSM-5 (PID-5)—Adult. The severe psychoticism score suggests the presence of

psychotic-like experiences or beliefs, necessitating further evaluation by a mental health

professional.

10.0 CONCLUSION

The psychological assessment suggests that Mark Vence Dee may be experiencing mental

health concerns, including mild OCD symptoms, moderate depression, detachment, and severe
psychoticism. There is also a high probability of a bipolar spectrum disorder.

Given the severity of Mark's symptoms and their impact on his daily life, it is important for

him to seek professional help as soon as possible. A comprehensive evaluation by a qualified

mental health professional can help confirm the presence of specific mental health disorders and

develop an appropriate treatment plan.

It is also important to address Mark's difficulties in time management during tests, which

may be impacting his academic performance and overall well-being. Providing strategies and

support to enhance his time management skills can help improve his performance and reduce

stress levels.

Overall, the psychological report provides valuable insights into Mark's psychological well-

being and the need for further evaluation, professional guidance, and support to address his

mental health concerns effectively.

11.0 RECOMMENDATIONS

Given the indications of mild obsessive-

compulsive disorder (OCD), moderate

depression, a high probability of bipolar

spectrum disorder, and the presence of

psychoticism, it is crucial for Mark to seek a

Referral to a Qualified Mental Health
comprehensive evaluation and professional
Professional
support from a qualified mental health

professional. This will facilitate an accurate

diagnosis, individualized treatment planning,

and appropriate interventions to address their

mental health concerns effectively.

CBT can help in addressing symptoms of

OCD, depression, and bipolar disorder by

 focusing on identifying and modifying

Psychotherapy / Cognitive-Behavioral maladaptive thoughts, behaviors, and coping

Therapy (CBT) strategies. Additionally, psychotherapy can

assist in improving emotion regulation,

managing stress, enhancing problem-solving

skills, and fostering resilience.

Considering the severity of depressive

symptoms, the high probability of bipolar

spectrum disorder, and the presence of

psychoticism, a consultation with a

psychiatrist is recommended to explore the

Medication Evaluation
possibility of medication as part of the

treatment plan. Medications, such as mood

stabilizers, antidepressants, or antipsychotics,

may be prescribed to manage symptoms and

stabilize mood fluctuations effectively.

Encouraging Mark to establish a strong

support system is essential. Involving their

family members, close friends, and trusted

individuals in their treatment journey can

provide emotional support, facilitate

Collaborative Support System
adherence to treatment, and create a

supportive environment. Family therapy or

support groups may also be beneficial for

promoting open communication,

understanding, and shared coping strategies

within the family system.

 Given the presence of mild stress and

difficulties with impulse control, introducing

stress management techniques can be

beneficial for Mark. Techniques such as

Stress Management Techniques
relaxation exercises, deep breathing,

mindfulness, and time management skills can

assist in reducing stress levels, promoting

emotional well-being, and enhancing overall

self-regulation.

It is recommended for Mark to have regular

follow-up appointments with their mental

health professional to monitor treatment

progress, evaluate the effectiveness of

interventions, and make any necessary

Regular Follow-up and Monitoring
adjustments to the treatment plan. Ongoing

monitoring is crucial to ensure that Mark's

mental health needs are addressed

appropriately and to prevent any potential

relapses or worsening of symptoms.

Providing psychoeducation to Mark and their

support system about the nature of their

mental health conditions, including OCD,

Psychoeducation
bipolar spectrum disorder, and depression, can

foster understanding, reduce stigma, and

promote active engagement in the treatment

process. Psychoeducation can help Mark and

their loved ones develop realistic expectations,

learn effective coping strategies, and access

available resources and support networks.